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Test Bank for Canadian Fundamentals of Nursing 6th
e e e e e e e
Edition by Potter e e
Chapter 01: Health and Wellness
e e e e
Potter et al: Canadian Fundamentals of Nursing, 6th Edition
e e e e e e e e
MULTIPLEeCHOICE
1. Theenurseeiseusingetheepopulationehealthepromotionemodeletoedevelopeactionseforeimproving
health.eAftereasking,e“Onewhateshouldeweetakeeaction?”;e“Howeshouldeweetakeeaction?”;ean
e
de“Whyeshouldeweetakeeaction?”etheenurseewilleaskewhicheofetheefollowingequestions?
a. “Withewhomeshouldeweeact?”
b. “Wheneshouldeweetakeeaction?”
c. “Whichegovernmenteshouldetakeeaction?”
d. “Whereeshouldeweefirsteact?”
ANS:e A
Theenextequestionetoeaskewheneusingetheepopulationehealthemodeleapproacheise“Withewhom
shouldeweeact?”eTheeotherechoiceseareenotequestionseincludedeinethisemodel.
DIF: Apply REF:e 13e(Figuree1-5)
OBJ:e Contrastedistinguishingefeatureseofehealthepromotioneandediseaseeprevention.
TOP:e Implementation MSC:e NCLEX:eHealthePromotioneandeMaintenance
2. Theeprinciplee“Healthepromotioneisemultisectoral”emeansewhicheofetheefollowing?
a. Relationshipsebetweeneindividual,esocial,eandeenvironmentalefactorsemustebeer
ecognized.
b. Physical,emental,esocial,eecological,ecultural,eandespiritualeaspectseofehealthemusteb
eerecognized.
c. Ineorderetoechangeeunhealthyelivingeandeworkingeconditions,eareaseotherethanehealthe
mustealsoebeeinvolved.
d. Healthepromotioneuseseknowledgeefromedisciplinesesucheasesocial,eeconomic,epoliti
cal,eenvironmental,emedical,eandenursingesciences,easewelleasefromefirst-
handeexperience.
ANS:e C
Theestatemente“Healthepromotioneisemultisectoral”eisetheeprincipleeexplainedebyetheen
ecessityetoeinvolveeareaseotherethanehealtheineorderetoechangeeunhealthyelivingeandewo
rkingeconditions.
DIF: Understand REF:e 11
OBJ:e Contrastedistinguishingefeatureseofehealthepromotioneandediseaseeprevention.e
TOP:e Planning MSC:e NCLEX:eHealthePromotioneandeMaintenance
3. AccordingetoetheeWorldeHealtheOrganization,ewhateisetheebestedescriptioneofe“health”?
a. Simplyetheeabsenceeofedisease.
b. Involvingetheetotalepersoneandeenvironment.
c. Strictlyepersonaleinenature.
d. Statuseofepathologicalestate.
ANS:e B
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WHOedefinesehealthease“.e.e.theeextentetoewhicheaneindividualeoregroupeiseable,eonetheeoneeha
nd,etoerealizeeaspirationseandesatisfyeneeds;eand,eonetheeotherehand,etoechangeeorecopeewithet
heeenvironment.eHealtheis,etherefore,eseeneaseaeresourceeforeeverydayelife,enotetheeobjectivee
ofeliving;eiteiseaepositiveeconcepteemphasizingesocialeandepersonaleresources,easewelleasephys
icalecapacities.”eNurses'eattitudesetowardehealtheandeillnesseshouldeconsideretheetotaleperson,
easewelleasetheeenvironmenteinewhichetheepersonelives.ePeopleefreeeofediseaseeareenoteequallye
healthy.eViewseofehealthehaveebroadenedetoeincludeemental,esocial,eandespiritualewell-
being,easewelleaseaefocuseonehealtheatefamilyeandecommunityelevels.
Conditionseofelife,eratherethanepathologicalestates,eareewhatedetermineehealth.
DIF: Knowledge REF:e 2
OBJ:eDiscussewaysethatedefinitionseofehealthehaveebeeneconceptualized.eTO
P:e Evaluate MSC:e NCLEX:eHealthePromotioneandeMaintenance
4. WhatepriorityestrategyeforehealthepromotioneineCanadaeiseoptionalebuteseeneaseimportantetoein
corporateeinenursingeeducationecurricula?
a. Knowledgeeofediseaseeprevention.
b. Strategieseforehealthepromotion.
c. Policyeadvocacy.
d. Conceptseofedeterminantseofehealth.
ANS:e C
Increasingly,epolicyeadvocacyeiseincorporatedeintoenursingeroleestatementseandenursingeeducat
ionecurricula.eNurseseshouldethinkeaboutepoliciesethatehaveecontributedetoehealtheproblems,epol
iciesethatewouldehelpealleviateehealtheproblems,eandehowenursesechampionepublicepolicies.eDis
easeeprevention,ehealthepromotion,eandeconceptseofedeterminantseofehealtheareeintegralepartseof
enursingecurricula.
DIF: Understand REF:e 11|e12
OBJ:e Analyzeehowetheenatureeandescopeeofenursingepracticeeareeinfluencedebyedifferentec
onceptualizationseofehealtheandehealthedeterminants.
TOP:e PlanningeMS
C:eNCLEX:eHealthePromotioneandeMaintenance
5. Whicheofetheefollowingeiseaeprerequisiteeforehealth,easeidentifiedebyetheeOttawaeChartereforeH
ealthePromotion?
a. Education.
b. Socialesupport.
c. Self-esteem.
d. Physicaleenvironment.
ANS:e A
EducationeiseoneeofetheenineeprerequisiteseforehealthethatewereeidentifiedeinetheeOttawaeChart
ereforeHealthePromotion.eLackeofesocialesupporteandeloweself-
esteemewereeidentifiedeasepsychosocialeriskefactorsebyeLabontee(1993).eDangerousephysicalee
nvironmentsewereeidentifiedeasesocioenvironmentaleriskefactorsebyeLabontee(1993).
DIF: Understand REF:e 4
OBJ:
DiscussecontributionseofetheefollowingeCanadianepublicationsetoeconceptualizationseofehealth
eandehealthedeterminants:eLalondeeReport,eOttawaeCharter,eEppeReport,eStrategieseforePopulationeHe
alth,eJakartaeDeclaration,eBangkokeCharter,eTorontoeCharter. TOP:
PlanningeMSC:eNCLEX:eHealthePromotioneandeMaintenance
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6. TheedeterminanteofehealthewithetheegreatesteeffecteonetheehealtheofeCanadianseisewhicheofeth
eefollowing?
a. Education.
b. Healtheservices.
c. Socialesupportenetworks.
d. Incomeeandesocialestatus.
ANS:e D
Income,eincomeedistribution,eandesocialestatuseconstituteetheegreatestedeterminanteofehealtheb
ecauseetheyeinfluenceemosteotheredeterminants.eSomeeinvestigatorsesuggestethateliteracyeande
educationeareeimportanteinfluenceseonehealthestatusebecauseetheyeaffectemanyeotherehealthede
terminants.eApproximatelye25%eofeaepopulation'sehealthestatuseiseattributedetoetheequalityeofei
tsehealthecareeservices.eSocialesupporteaffectsehealth,ehealthebehaviours,eandehealthecareeutiliz
ationebuteisenotetheegreatestedeterminanteofehealth.
DIF: Understand REF:e 6
OBJ:eDiscussekeyehealthedeterminantseandetheireinterrelationshipseandehowetheyeinfluenceehealth.e
TOP:e Planning MSC:e NCLEX:eHealthePromotioneandeMaintenance
7. Aeparaplegicepatienteinetheehospitaleforeaneelectrolyteeimbalanceeisereceivingecareeatewhichepr
eventionelevel?
a. Primaryepreventionelevel.
b. Secondaryepreventionelevel.
c. Tertiaryepreventionelevel.
d. Healthepromotionelevel.
ANS:e B
Theesecondaryepreventionelevelefocuseseoneearlyedetectioneofediseaseeonceepathogenesisehase
occurred,esoethatepromptetreatmentecanebeeinitiatedetoehaltediseaseeandelimitedisability.eTheepri
maryepreventionelevelefocuseseonehealthepromotion,especificeprotectionemeasuresesucheaseim
munizations,eandetheereductioneoferiskefactorsesucheasesmoking.eTheetertiaryepreventionelevel
efocuseseoneminimizingeresidualedisability.
DIF: Apply REF:e 11
OBJ:e Contrastedistinguishingefeatureseofehealthepromotioneandediseaseeprevention.
TOP:e Implementation MSC:e NCLEX:eHealthePromotioneandeMaintenance
8. Theenurseeincorporateselevelseofepreventioneonetheebasiseofepatienteneedseandetheetypeeofen
ursingecareeprovided.eWhicheofetheefollowingeiseaneexampleeofetertiaryelevelepreventiveecar
egiving?
a. Teachingeaepatientehowetoeirrigateeaenewetemporaryecolostomy.
b. Providingeaelessoneonehygieneeforeaneelementaryeschooleclass.
c. Informingeaepatientethateimmunizationseforehereinfanteareeavailableethroughetheeh
ealthedepartment.
d. Arrangingeforeaehospiceenurseetoevisitewithetheefamilyeofeaepatientewithecancer.
ANS:e D
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Tertiaryepreventioneiseprovidedewheneaedefecteoredisabilityeisepermanenteandeirreversible.eAtet
hiselevel,etheehospiceenurseeaimsetoehelpetheepatienteandehiseoreherefamilyetoeachieveeaehighelev
eleofefunction,edespiteetheelimitationsecausedebyetheepatient'seillness.eTeachingeaepatientehowe
toeirrigateeaenewecolostomyeiseaneexampleeofesecondaryeprevention.eIfetheecolostomyeisetoebee
permanent,ecareemayelateremoveetoetheetertiaryeleveleofeprevention.
Providingeaelessoneonehygieneeforeaneelementaryeschooleclasseandeinformingeaepatienteaboute
availableeimmunizationseareeexampleseofeprimaryeprevention.
DIF: Apply REF:e 11
OBJ:e Discussetheethreeelevelseofediseaseeprevention.eTOP:e Implementation
MSC:e NCLEX:eHealthePromotioneandeMaintenance
9. Theenurseeiseworkingeoneaecommitteeetoeevaluateetheeneedeforeincreasingetheelevelseofefluori
deeinetheedrinkingewatereofetheecommunity.eInedoingeso,etheenurseeisefosteringewhicheconcept
?
a. Anticipatoryeprevention.
b. Primaryeprevention.
c. Secondaryeprevention.
d. Tertiaryeprevention.
ANS:e B
Fluoridationeofemunicipaledrinkingewatereandefortificationeofehomogenizedemilkewithevitamine
Deareeexampleseofeprimaryepreventionestrategies.eWitheactiveestrategieseofehealthepromotion,ei
ndividualseareemotivatedetoeadoptespecificehealtheprogramsesucheaseweightereductioneandesmo
kingecessationeprograms.e“Anticipatoryeprevention”eisenoteaeknowneconcept.eSecondaryepreve
ntionepromoteseearlyedetectioneofediseasee(e.g.,escreening).
Tertiaryepreventioneactivitieseareeinitiatedeinetheeconvalescenceephaseeofedisease.
DIF: Apply REF:e 11
OBJ:e Discussetheethreeelevelseofediseaseeprevention.eTOP:e Implementation
MSC:e NCLEX:eHealthePromotioneandeMaintenance
10. Theenurseeiseworkingeineaeclinicethateisedesignedetoeprovideehealtheeducationeandei
mmunizations.eAsesuch,ethiseclinicefocuseseonewhichetypeeofeprevention?
a. Primaryeprevention.
b. Secondaryeprevention.
c. Tertiaryeprevention.
d. Diagnosiseandeprompteintervention.
ANS:e A
Primaryepreventioneprecedesediseaseeoredysfunctioneandeiseappliedetoepeopleeconsideredephy
sicallyeandeemotionallyehealthy.eHealthepromotioneincludesehealtheeducationeprograms,eimm
unizations,eandephysicaleandenutritionalefitnesseactivities.eSecondaryepreventionefocuseseonei
ndividualsewhoeareeexperiencingehealtheproblemseoreillnesseseandewhoeareeateriskeforedevelop
ingecomplicationseoreworseningeconditions;eactivitieseareedirectedeatediagnosiseandepromptein
tervention.eTertiaryepreventioneiseprovidedewheneaedefecteoredisabilityeisepermanenteandeirrev
ersible.eIteinvolveseminimizingetheeeffectseofelong-
termediseaseeoredisabilityethrougheinterventionsedirectedeatepreventingecomplicationseandedet
erioration.
DIF: Understand REF:e 11
OBJ:e Discussetheethreeelevelseofediseaseeprevention.eTOP:e Implementation
MSC:e NCLEX:eHealthePromotioneandeMaintenance
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